Nokea
The division of the uterine tube that has an outer margin that resembles a fringe is called the:
- A. Isthmus
- B. Ampulla
- C. Infundibulum
- D. Oviduct
Correct Answer: C
Rationale: The infundibulum has fimbriae, which resemble a fringe at its outer margin.
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What condition would the nurse suspect in a patient who presents with very painful menstrual cramps that prevent them from working each month?
- A. amenorrhea
- B. dysmenorrhea
- C. premenstrual syndrome
- D. abnormal uterine bleeding
Correct Answer: B
Rationale: The correct answer is B: dysmenorrhea. Dysmenorrhea refers to painful menstrual cramps that can be severe enough to interfere with daily activities like work. This condition is common and can be caused by increased prostaglandin levels leading to uterine contractions. Amenorrhea (A) is the absence of menstruation, not painful cramps. Premenstrual syndrome (C) involves a variety of physical and emotional symptoms before menstruation, but not necessarily severe cramps. Abnormal uterine bleeding (D) refers to irregular or excessive bleeding, not specifically related to cramps.
When suspecting an ovarian cyst on the basis of abdominal pain, what other causes need to be ruled out due to the severity of the condition? Select all that apply.
- A. ectopic pregnancy
- B. inflamed appendix
- C. ovarian torsion
- D. submucosal fibroid
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C.
A: Ectopic pregnancy can present similarly to an ovarian cyst with abdominal pain. It is a life-threatening emergency due to the risk of rupture.
B: Inflamed appendix can mimic symptoms of an ovarian cyst, such as lower abdominal pain. Appendicitis can lead to serious complications without prompt treatment.
C: Ovarian torsion can cause sudden, severe abdominal pain similar to that of an ovarian cyst. It requires immediate medical attention to prevent ovarian damage or necrosis.
D: Submucosal fibroid is a benign growth in the uterus and would not typically cause symptoms that mimic an ovarian cyst.
Which part of the uterus opens into the vagina?
- A. Fundus
- B. Cervical canal
- C. External os
- D. Internal os
Correct Answer: C
Rationale: The external os is the part of the uterus that opens into the vagina.
The fundus of the uterus is the:
- A. Lower, narrow section
- B. Area above where the tubes enter
- C. Central portion
- D. Opening into the uterus
Correct Answer: B
Rationale: The fundus is the rounded region of the body of the uterus above the attachment of the uterine tubes.
Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of the
- A. pubic symphysis
- B. umbilicus
- C. epigastrium
Correct Answer: B
Rationale: The fundus typically rises to the level of the umbilicus within 6-12 hours postpartum.